NPIMap

Organization Active NPI

Clinical Therapeutic Services of Long Island LCSW, PLLC

  • Clinical Social Worker
  • North Baldwin, NY
National Provider Identifier
1508002486
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R069998-1 Issued in NY
Legal business name
CLINICAL THERAPEUTIC SERVICES OF LONG ISLAND LCSW, PLLC
Practice address
1 Stewart CT
North Baldwin, NY 11510-1028
Phone
(516) 632-5360
Fax
(516) 333-8529
NPI assigned
Dec 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Caran Leib, L.C.S.W.
Title
President
Phone
(516) 333-8523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R069998-1 NY Primary

Addresses

Primary practice location

1 Stewart CT
North Baldwin, NY 11510-1028

Mailing address

14 Linden LN
Old Westbury, NY 11568-1610
Phone (516) 333-8523

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1508002486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LINDEN LN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681610",
            "telephone_number": "516-333-8523",
            "fax_number": "516-333-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STEWART CT",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101028",
            "telephone_number": "516-632-5360",
            "fax_number": "516-333-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL THERAPEUTIC SERVICES OF LONG ISLAND LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "LEIB",
        "authorized_official_first_name": "CARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-333-8523",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069998-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.